CN107427216A - Medical system - Google Patents
Medical system Download PDFInfo
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- CN107427216A CN107427216A CN201680012985.7A CN201680012985A CN107427216A CN 107427216 A CN107427216 A CN 107427216A CN 201680012985 A CN201680012985 A CN 201680012985A CN 107427216 A CN107427216 A CN 107427216A
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- Prior art keywords
- medical
- image
- camera
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- output
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00043—Operational features of endoscopes provided with output arrangements
- A61B1/00045—Display arrangement
- A61B1/00048—Constructional features of the display
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00011—Operational features of endoscopes characterised by signal transmission
- A61B1/00016—Operational features of endoscopes characterised by signal transmission using wireless means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/0002—Operational features of endoscopes provided with data storages
- A61B1/00022—Operational features of endoscopes provided with data storages removable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00039—Operational features of endoscopes provided with input arrangements for the user
- A61B1/0004—Operational features of endoscopes provided with input arrangements for the user for electronic operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00039—Operational features of endoscopes provided with input arrangements for the user
- A61B1/00042—Operational features of endoscopes provided with input arrangements for the user for mechanical operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/24—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/24—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
- A61B1/247—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth with means for viewing areas outside the direct line of sight, e.g. dentists' mirrors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0033—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room
- A61B5/0035—Features or image-related aspects of imaging apparatus classified in A61B5/00, e.g. for MRI, optical tomography or impedance tomography apparatus; arrangements of imaging apparatus in a room adapted for acquisition of images from more than one imaging mode, e.g. combining MRI and optical tomography
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
- A61B5/7425—Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B27/00—Optical systems or apparatus not provided for by any of the groups G02B1/00 - G02B26/00, G02B30/00
- G02B27/01—Head-up displays
- G02B27/017—Head mounted
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00973—Surgical instruments, devices or methods, e.g. tourniquets pedal-operated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B2090/364—Correlation of different images or relation of image positions in respect to the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/372—Details of monitor hardware
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/374—NMR or MRI
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
- A61B2090/502—Headgear, e.g. helmet, spectacles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
- A61B5/743—Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B27/00—Optical systems or apparatus not provided for by any of the groups G02B1/00 - G02B26/00, G02B30/00
- G02B27/01—Head-up displays
- G02B27/0101—Head-up displays characterised by optical features
- G02B2027/0138—Head-up displays characterised by optical features comprising image capture systems, e.g. camera
Abstract
A kind of medical system is provided, the medical system easily confirms display picture, and can easily carry out the switching of image.Medical camera (2) is connected with the 1st input terminal (14a) of switching device (6).The medical image output (4) of output medical image is connected with the 2nd input terminal (14b).The HMD (10) on the face for being worn on user is connected with the 1st lead-out terminal (16a).External monitor (12) is connected with the 2nd lead-out terminal (16b).When initial, the medical image from medical image output (4) is output and is shown on HMD (10).The camera images of medical camera (2) are output and are shown in external monitor (12).By being operated to controlling switch (66), can to being shown in HMD (10), the image in external monitor (12) switches over.
Description
Technical field
The present invention relates to be used in operation etc. to the medical imaging such as the affected part image in operation and MRI (magnetic resonance imaging)
The medical system shown.
Background technology
The medical system that image and medical imaging obtained by a kind of affected part being used in being performed the operation to shooting are shown is
Used.In such systems, due to being medium in operation, thus excellent operability is required.
For example, in the system disclosed in patent document 1, make the operation screen of the Medical Devices such as endoscope and indoor photograph
The operation screen of the non-medical devices such as machine and liquid crystal display is common, so that its operation becomes easy.
In addition, the camera requirement miniaturization and operability that are shot in medical treatment etc. to operative site etc. are good.
Although having used endoscope (patent document 2) as the camera in medical field, its application target is limited, logical
It can not be used in normal operation etc..
Further it is proposed that the intra-oral camera (patent document 3) of dental.The intra-oral camera substitutes conventional tooth
Section's mirror, shot for counterpart intracavitary, and be displayed as image.
Prior art literature
Patent document
Patent document 1:Japanese Unexamined Patent Publication 2009-183686
Patent document 2:Japanese Unexamined Patent Publication 6-167658
Patent document 3:Japanese Unexamined Patent Publication 2008-86554
The content of the invention
The invention problem to be solved
But although operability improves due to the common of operation screen in patent document 1, it is more
Much information is shown on individual display, the confirmation of the information in operation may not be easy.
In the medical camera and intra-oral camera of patent document 2 and patent document 3, the problem of following be present
Point：That is, place, the appearance of desired shooting can be easy to set up in treatment and operation in the user such as doctor or dentist
Easily confirm that shooting image is not sufficient enough on this point.Particularly, do not account in the case of being used as wearable system
Good operability.
It is an object of the present invention to any one in solving the above problems a little, there is provided it is a kind of easily to confirm display picture,
And the medical system of the switching of image can be easily carried out, or the good camera of a kind of operability and wearable is provided
System.
Means for solving the problems
Enumerate some features for being capable of independent utility of the present invention.
(1) medical system of the invention has：Medical camera, it is shot and exports camera images；Medical treatment
Image output device, it exports medical image；Head mounted display, it is worn on user；External monitor, it can be for
People's viewing beyond user or user；And switching device, it has selection control unit, and the selection control unit input comes
From the camera images of the medical camera and the medical data from medical data output device, to respectively in the head
At least show in the camera images and the medical data on head mounted displays and the external monitor which side enter
Row selection.
It is good therefore, it is possible to provide the visual confirmatory of user a kind of, and the staff beyond user also can
The medical system easily verified that.
(2) switching device of the invention has：1st input terminal, it inputs the camera diagram from medical camera
Picture, the medical camera are shot and export camera images；2nd input terminal, it inputs defeated from medical image
Go out the medical image of device, the medical image output exports medical image；1st lead-out terminal, it is used for being worn on
The head mounted display output image signal of user；2nd lead-out terminal, it is used for beyond can be for user or user
People viewing external monitor output image signal；And selection control unit, it inputs the photograph from the 1st input terminal
Camera image and the medical image from the 2nd input terminal, for the 1st lead-out terminal and the 2nd lead-out terminal
Which side at least showing in the camera images and the medical image is selected.
It is good therefore, it is possible to provide the visual confirmatory of user a kind of, and the staff beyond user also can
The medical system easily verified that.
(3) switching device of the invention is characterised by, selects control unit to be changed according to the signal from controlling switch
The selection mode.
Therefore, it is possible to by being operable to switch over to controlling switch.
(4) medical system of the invention is characterised by, is constantly supplied in the connection signal from the controlling switch
In the case of below stipulated time, control unit is selected to switch over the image exported to the 1st lead-out terminal, from institute
State controlling switch connection signal be constantly supplied and exceed schedule time in the case of, select control unit to the described 2nd output
The image of terminal output switches over.
Therefore, it is possible to be controlled using a switch to the output to 2 lead-out terminals.
(5) medical system of the invention is characterised by that controlling switch is floor push.
Therefore, controlling switch is operated by using pin, so as to which the operation of hand will not be hindered.
(6) medical system of the invention is characterised by, selects control unit to receive control signal and will be exported to the described 1st
Terminal or the 2nd lead-out terminal or the image of both sides output at least spin upside down, are rotated by 90 ° or mirror face turning.
Therefore, the image of display can either be switched, additionally it is possible to switch the dispaly state of image.
(7) medical system of the invention is characterised by, selects control unit to have recording unit, the recording unit is in the future
It is recorded from the 1st input terminal or the 2nd input terminal or the image of the both sides in removable recording medium.
Therefore, the switching of image can either be carried out, and can is enough to be recorded to image.
(8) medical system of the invention is characterised by that medical camera is worn on the body of user.
Shot therefore, it is possible to the movement with the use of person, and the image is shown.
(9) medical system of the invention is characterised by that medical camera is intra-oral camera.
Therefore, it is possible to be used in treatment of dentist etc..
" medical camera " refers to the camera used in medical treatment, refers to operative site, operating room, ward, mouth
The camera shot in intracavitary, intraperitoneal, internal organs etc., its concept is not only comprising the photograph worn in a manner of wearable
Camera, also include the camera of fixed setting.
(a) flexible camera of the invention has：Base portion；Flexible arm, its one end are installed on base portion；And end
Portion, it is installed on the other end of flexible arm, is provided with camera and light source.
Therefore, it is possible to easily change the direction of camera and light source.
(b) wearable system of the invention has：Flexible camera, it is worn on glasses；And wear-type is shown
Device, it is worn on the glasses, and is connected with flexible camera, and the wearable system is characterised by, the flexibility
Camera has：Base portion；Flexible arm, its one end are installed on base portion；And terminal part, it is installed in the another of flexible arm
On end, camera and light source are provided with.
Therefore, it is possible to provide a kind of the wearable of camera with the direction that can easily change camera and light source
System.
(c) wearable system of the invention is characterised by that head mounted display has：Base portion；Flexible arm, its one end quilt
On base portion；And terminal part, it is installed on the other end of flexible arm, and is provided with display.
Therefore, it is possible to provide a kind of wearable system for the position that can be easily adjusted display.
(d) wearable system of the invention is characterised by that flexible arm has：Coil, wire rod is wound into hollow form by it
And formed；And cage walls, it is contacted with the periphery of the coil, to produce receipts on the direction for crimping the adjacent wire rod
The mode of contracting power is stretched, or, the internal diameter be formed as under its nature is smaller than the external diameter of coil, to produce contraction in radial direction
The mode of power is stretched.
A kind of there is the camera or display that are easily bent and easily keep its bending position therefore, it is possible to obtain
Wearable system.
(e) intra-oral camera of the invention has handle portion and forms the shooting in the end of handle portion with predetermined angular
Portion, the intra-oral camera are characterised by that the image pickup part houses camera and light source, and the image pickup part is formed as center
Portion is high and peripheral part is low, and the hole for shooting of the camera is set on the central portion, is set on the peripheral part for coming
From the light of the light source by and take out the illumination hole of illumination light.
Therefore, it is possible to obtain it is a kind of being capable of the camera that is suitably shot of counterpart intracavitary.
(f) wearable system of the invention has the intra-oral camera being worn on glasses and is worn on the eye
The head mounted display being connected on mirror and with intra-oral camera, the wearable system are characterised by, are shone in the oral cavity
Camera has handle portion and forms the image pickup part in the end of handle portion with predetermined angular, and the image pickup part houses camera and light
Source, the image pickup part is formed as central portion height and peripheral part is low, and the hole for shooting of the camera is set on the central portion,
Set on the peripheral part make the light from the light source by and take out the illumination hole of illumination light.
Therefore, it is possible to provide, a kind of have being capable of the wearable system of camera that is suitably shot of counterpart intracavitary.
(g) wearable system of the invention is characterised by that head mounted display has：Base portion；Flexible arm, its one end quilt
On base portion；And terminal part, it is installed on the other end of flexible arm, is provided with display.
Therefore, it is possible to provide a kind of wearable system for the position for being easily adjusted display.
Brief description of the drawings
Fig. 1 is being monolithically fabricated for the medical system of the first embodiment of the present invention.
Fig. 2 is the example for the operation for having used medical system.
Fig. 3 is the example for the wearable device 602 that operator 600 is worn.
Fig. 4 is the example in wearing portion 20.
Fig. 5 is guide member 15, the detailed construction of installation guide 30.
Fig. 6 is the example of medical camera 2.
Fig. 7 is the shell structure of medical camera 2.
Fig. 8 is the structure of flexible arm 9.
Fig. 9 a are the outside drawings of pipe 90, and Fig. 9 b are the sectional views of pipe 90.
Figure 10 is the figure of the process for showing to be coated to pipe 90 on coil 80.
Figure 11 is the figure for the circuit for showing medical camera 2.
Figure 12 is HMD10 example.
Figure 13 is the figure for the circuit for showing switching device 6.
Figure 14 is the example of intra-oral camera 302.
Figure 15 is the sectional view of intra-oral camera 302.
Figure 16 A, Figure 16 B, Figure 16 C are to show the miniature SD card 800 and SD card adapter 802 for Imagery Data Recording
Figure.
Figure 17 is the circuit block diagram of SD card adapter 802.
Embodiment
1. it is monolithically fabricated
Being monolithically fabricated for the medical system of the first embodiment of the present invention is shown in Fig. 1.The 1st in switching device 6 is defeated
Enter and medical camera 2 is connected with terminal 14a.The medical camera 2 is for example worn on doctor on the face, to Surgery
Position is shot.The medical image output 4 of output medical image is connected with the 2nd input terminal 14b.These medical treatment figures
Seem MRI, SPECT (single photon emission computerized tomography), the X-ray shot in advance for the patient to be performed the operation
Or the medical image such as significant data (electrocardiogram etc.) obtained in real time.
The head mounted display on the face for being worn on user is connected with the 1st lead-out terminal 16a of switching device 6
(HMD)10.External monitor 12 is connected with the 2nd lead-out terminal 16b.
For example, when initial, the medical image from medical image output 4 is output and is shown on HMD10.Doctor
Treatment is output and is shown in external monitor 12 with the camera images of camera 2.
Thus, the doctor to be performed the operation can be moved to confirm working as patient using HMD10 by less sight
Preceding significant data etc..In addition, the staff around the doctor to be performed the operation can be by watching exterior monitoring
Device 12 confirms operative site.Particularly there are many staff around and can not be in the case of direct viewing operative site
Effectively.Further, since can with doctor's identical point of view operative site, accordingly, it is capable to be enough in guidance.
Switching device 6 receives the signal from controlling switch 8, to the image being shown on HMD10 and external monitor 12
Switch over.In the present embodiment, when controlling switch 8 being connected more than the stipulated time into (for example, more than 0.5 second), it will thus provide
Image to the 2nd lead-out terminal 16b (input of external monitor 12) switches to medical image output dress from medical camera 2
Put 4.When controlling switch 8 further is connected into more than the stipulated time, it will thus provide to the 2nd lead-out terminal 16b (external monitors 12
Input) image switch to medical camera 2 from medical image output 4 again.So, by by controlling switch 8
Connect more than the stipulated time, and the image for being supplied to the 2nd lead-out terminal 16b is alternately switched to medical camera 2 or doctor
Treat image output device 4.
When controlling switch 8 to be connected the insufficient stipulated time to (for example, less than 0.5 second), it will thus provide to the 1st lead-out terminal
16a image is alternately switched to medical camera 2 or medical image output 4.
Therefore, doctor just can be to showing only by being operated to controlling switch 8 on HMD10 and external monitor 12
Which image switches over.
2. hardware forms and action
The Shou Shu Zhuan Condition of above-mentioned medical system have been shown with Fig. 2.Operating table 604 is provided with operating room.In addition, set
It is equipped with external monitor 12.Wearable device 602 is worn on the face by operator 600.In addition to operator 600, work people
Member 610,612 is around operating table 604.
The wearable device 602 that operator 600 is worn is shown in Fig. 3.Wearing tool 20 is installed, the pendant on glasses 40
Wear and HMD10 and medical camera 2 are equipped with instrument 20.
Figure 4 illustrates the detailed construction of wearing tool 20.Wearing tool 20 has metal U-shaped band 22 and is arranged on
The plastic holding member 24 of the end of U-shaped band 22.Joint portion 28, U-shaped band are provided with the rear end of holding member 24
22 end is inserted into the joint portion 28 in a manner of it can slide.Slide U-shaped band 22, U-shaped band 22 and the neck of wearer
Rear side abut, firm wearing state can be realized.Be formed as U formed with what downside was opened wide on the end of holding member 24
The clamping part 26 of shape.In addition, in the side of holding member 24 formed with installation guide 30.
The section of installation guide 30 is shown in figure 5b.Recess 25,27 is provided with both sides.On the other hand, in medical treatment
With the guide member 14 (dorsal part for setting lower body 4a in fig. 2) being provided with the base portion 5 of camera 2 as shown in Figure 5A.
The installation guide 30 of Fig. 5 B holding member 24 is entrenched in by the convex portion 21,23 for the guide member 15 for making medical camera 2
Recess 25,27 in and slide, can by medical camera 2 be fixed to wearing tool 20 on.
As shown in figure 3, the clamping part 26 of wearing tool 20 is clamped to the temple 44 of glasses 40 from top, so as to which work will be worn
Tool 20 is fixed on glasses 40.Further, by being slided the guide member 14 of medical camera 2 and being embedded into wearing tool
So as to being fixed in 20 installation guide 30.In such manner, it is possible to wearing tool 20 is installed in the temple 44 of glasses 40, and
Medical camera 2 is being fixed on wearing tool 20.
The outward appearance of the medical camera 2 of the first embodiment of the present invention is shown in Fig. 6.It is provided with base portion 5 and terminal part
7.Base portion 5 and terminal part 7 are connected by flexible arm 9.Camera and light source are contained in terminal part 7.Set on terminal part 7
Photography hole 17 is equipped with, to be shot using the camera.In addition, illumination hole 19 is provided with terminal part 7, with facility
It is illuminated with light source.
Camera is accordingly set with photography with hole 17, and light source (LED) is accordingly provided with more with each illumination hole 19
Individual (in the present embodiment, being 6).In the present embodiment, the position for illuminating the end in hole 19 is formed as than photography hole
The position of 17 end is low (close to base portion 5).Thus, the light from light source will not be directly entered camera, and it is appropriate to carry out
Shooting.
Illumination switching switch 13 is provided with base portion 5.The switch 13 is pressed every time, and the output of light source is carried out from low to high
Multistage switching.After highest output is become, minimum output is returned to.
HDMI (trade mark) cable 11 is connected with the rearward end of base portion 4.HDMI (trade mark) cable 11 and switching device 6
The 1st input terminal 14a connections.
Show that the circuit of medical camera 2 is formed in Figure 11.In the present embodiment, light source (LED) 705 and camera
707 are housed in terminal part 7.Control circuit 709, image-processing circuit 711 are housed in base portion 5.
Switch 712 be pressed when, control circuit 709 electric power for being supplied to light source 705 is controlled as described above from
And its light quantity is set to change.Image-processing circuit 711 is handled the image taken by camera 707, and conduct
HDMI (trade mark) signal output.
The shell structure of medical camera 2 is shown in Fig. 7.Base portion 5 is made up of top and the bottom body 5a, 5b.Terminal part 7 is by a left side
Right part body 7a, 7b and lid 7c are formed.
Fig. 6 is returned to, due to being provided with flexible arm 9, therefore, easily is altered to wish by the direction of the camera of terminal part 7
Direction and position, easily hold it in the opening position.
As shown in figure 8, the flexible arm 9 is configured to the pipe 90 for having coil 80 He being arranged on the periphery of coil 80.In pipe
The distribution of connection light source 705 and control circuit 709 is contained in 90, connects the distribution of camera 707 and image-processing circuit 711
Deng.
Coil 80 is formed as the wire rod (SUS304WPB) 82 that cross section is circle and the SUS wire rods that cross section is triangle
(SUS304) 84 this two lines circle.In present embodiment kind, a diameter of 0.8mm of wire rod 82, a line of wire rod 84 are
1.0mm.Adjacent SUS wire rods (elastomeric material) 82 and SUS wire rods (elastomeric material) 84 is in contact with each other.Cross section is triangle
SUS wire rods 84 configure in a manner of a line of triangle is along periphery, and it (can also be phase that width narrows with direction inside
Anti-).Inserted with cable 43 (for example, fine rule coaxial cable can be formed as) in the hollow bulb 86 of coil 80.
It is provided with the pipe 90 of silicone in a contact fashion in the periphery of coil 80.In the present embodiment, for coil
80 external diameter 54mm, use the pipe 90 of the internal diameter 50mm under nature.So, by making the external diameter of coil 80 than in pipe 90
Footpath is slightly larger (5%~15% or so of pipe diameter), and pipe 90 is close to the periphery of coil 80.
In addition, in the present embodiment, make pipe 90 in the state of the A directions elongation from nature along Fig. 8, with coil
80 are close to.Thus, because the pipe 90 with flexibility will shrink, therefore, it is possible to be exerted a force to coil 80 to the direction of compression.
The detailed construction of pipe 90 is shown in Fig. 9 a.In the present embodiment, by flexibility silicone carry out into
Type and constitute pipe 90.Flange 92 is provided with one end.Flange 94 is also equipped with another side.
Its sectional elevation is shown in Fig. 9 b.In the end for the side for being provided with flange 94, it is provided with and is formed as than hollow
The small stopper section 96 of the diameter in portion, prevents coil 80 from coming off.
As shown in Fig. 2 the recess 100 of the flange 92 for insertion tube 90 is provided with the lower body 5b of base portion 5.Although
It is not shown, but it is also equipped with same recess in portion of upper body 5a sides.Stop part 110 has been disposed adjacently with recess 100.Should be only
Block piece 110 is the part for being maintained at the coil 80 of inside on defined position when being mounted with flexible arm 9.
In addition, the recess 102 of the flange 94 for insertion tube 90 is also equipped with left and right portion body 7a, 7b of movable part 7.
Alternatively, it is also possible to set stop part 110 not on movable part 7.
Next, show that the process of flexible arm 9 is installed on the fixed part 5 and base portion 7.First, as shown in Figure 10 a, will
Coil 80 is housed in pipe 90.Now, one end of coil 80 is inserted until it is abutted with the stopper section 96 of insertion tube 90.
In the present embodiment, because the length LC (such as 60mm) of coil 80 is longer than the length LT (such as 50mm) of pipe 90
(10%~50% or so of the long total length of outlet pipe 90), therefore, as shown in Figure 10 a, coil 80 becomes the state leant out.Such as Figure 10 b
It is shown, in this condition, the flange 94 of pipe 90 is inserted and in the recess 102 fixed to movable part 7, make the other end of coil 80
When side abuts with the stop part 110 of fixed part 5, the flange 92 of pipe 90 is not filled into the recess 100 of fixed part 5.
Therefore, as shown in figure l0c, after pipe 90 is stretched to arrow B direction, the flange 92 of pipe 90 is made to be embedded into fixation
In the recess 100 in portion 5.Then, the lid for being again provided with recess is covered.
As shown in figure 3, wear HMD10 on right side.Figure 12 illustrates HMD10.
The HMD10 has fixed part 204, movable part 217 and flexible arm 208.HDMI (business is provided with fixed part 204
Mark) connector 219.The prism 212 of display is provided with movable part 206.Movable part 206 covers prism in a manner of shading
212, and only there is opening in the side relative with the eyes of wearer.Distinctness is obtained thereby, it is possible to avoid the influence of outer light
Image.
Arm fixed part 217 is provided with the central portion (not end) of movable part 206, in the terminal part of fixed part 204
On be provided with arm fixed part 215.Between arm fixed part 215 and arm fixed part 217, flexible arm 208 is provided with.Can be by curved
Bent flexible arm 208 changes the position of the prism 212 of movable part 206 and angle.In addition, the structure of flexible arm 208 with it is medical
The flexible arm 9 of camera 2 is identical.
HDMI (trade mark) electric wire 245 is connected with HDMI (trade mark) connector 219, the electric wire 245 is directed into switching
1st lead-out terminal 16a of device 6.
Show that the circuit of switching device 6 is formed in Figure 13.Control circuit 60 is according to the signal from controlling switch 66 to inciting somebody to action
1st input terminal 14a, the 2nd input terminal 14b be connected with which side in the 1st lead-out terminal 16a, the 2nd lead-out terminal 16b into
Row switching.In addition, image transformation circuit 62,64 is to be converted into the preferable picture signal corresponding with the equipment for exporting destination
Circuit.For example, due to being connected with HMD10 on the 1st lead-out terminal 16a, therefore, image transformation circuit 62 is with big with its image
The mode of small matching is changed.Due to being connected with external monitor 12 on the 2nd lead-out terminal 16b, therefore, image conversion electricity
Changed in a manner of being matched with its image size on road 64.
Fig. 2 is returned to, operator 600 can be to setting floor push (controlling switch) 8 underfoot to operate, next pair
The image being shown on HMD10 and the image being shown in external monitor 12 switch over.In addition, in this embodiment, SPECT figures
The medical images such as picture are recorded in PC250, and are provided to the 2nd input terminal 14b of switching device 6.
Operator 600 can only by floor push 8 be operable to carry out image switching.In addition, pass through combination
Using HMD10 and external monitor 12, so as to provide a kind of movement of the sight of operator less and other staff
610th, 612 system confirmed easily by external monitor 12.In addition it is also possible to make on HMD10 and external monitor 12
Show identical image.Switching device 6 can also be to being supplied to HMD10 and the image of external monitor 12 to cut in linkage
Change.
It is 3. other
(1) in the above-described embodiment, system is constituted using medical camera 2.But it is also possible to using such as Figure 13
Shown intra-oral camera 302.Terminal part 306 is provided with the end of handle portion 304.Contained in terminal part 306
Camera and light source.Circuit forms identical with Figure 11.
Photography hole 316 is provided with terminal part 306, to be shot using the camera.In addition, in terminal part
Illumination hole 318 is provided with 306, to be illuminated with light source.
Camera is accordingly set with photography with hole 316, and light source (LED) is accordingly provided with each illumination hole 318
Multiple (being in the present embodiment 6).In the present embodiment, the position for illuminating the end in hole 318 is formed as using than photography
The position of the end in hole 316 is low (close to handle 304).Thus, the light from light source will not be directly entered camera, can carry out
Appropriate photography.
Illumination switching switch 312 is provided with handle 304.The switch 312 is pressed every time, and the output of light source is from low to high
Carry out multistage switching.After highest output is become, minimum output is returned to.
As shown in figure 12, the terminal part 306 of the intra-oral camera 302 in present embodiment is formed as relative to handle
304 have defined angle (being in this example 20 degree).
HDMI (trade mark) cable (not shown) is connected with the rearward end of handle 304.By HDMI (trade mark) cable with cutting
1st input terminal 14a connections of changing device 6 are used.
According to this example, treatment that can be in dental hospital for tooth etc..
In the above-described embodiment, by compressing switch 12,312 the light quantity of light source can be made to change every time.However, it is possible to
To make light quantity change according to by 12,312 time of compressing switch.
(2) in the above-described embodiment, floor push 8 has been used as controlling switch.Hand is utilized but it is also possible to use
Come the switch operated.In addition, according to the long-press of controlling switch 8, short-press, come control be for which lead-out terminal 16a,
16b switching.But it is also possible to it is independently arranged the controlling switch 8 for each lead-out terminal 16a, 16b.
(3) in the above-described embodiment, in image transformation circuit 62,64, mainly the size of image is changed.But
Be on this basis, the image of input can also be spun upside down, 90 degree of rotations, mirror face turnings etc., to enter to the form of image
Row conversion.
(4) in the above-described embodiment, switching device 6 by the image of input to being output to which terminal switches over.But
It is, on this basis, it is possible to have for the image provided to recorded to the circuit in removable recording medium.Now, though
The image after being changed by image transformation circuit 62,64 can be so recorded, but it is also possible to record the image before conversion.
The method that miniature SD card 800 carrys out record data is shown with Figure 16.In this example, miniature SD card 800 is assembled
(reference picture 16A) is used in SD card adapter 802.SD card adapter 802 and full-scale (full size) SD card are identicals
External dimensions.Therefore, if miniature SD card 800 is inserted into card adapter 802, can be used as full-scale SD card
(Figure 16 B).
In this example, due to being provided with the connector of SD card in switching device 6, therefore, it is possible to be assembled to switching device 6
In carry out recording image data.The circuit block diagram of SD card adapter 802 is shown in Figure 17.In this example, it is provided with carry out picture number
According to encrypting and decrypting control circuit 820 (FPGA).
The view data to be recorded is inputted from full-scale SD card terminal 822.View data is encrypted control circuit 820
And it is output to miniature SD card terminal 826.Therefore, record has the view data after encryption in miniature SD card 800.
SD card adapter 802 with the miniature SD card 800 that so have recorded encrypted image data can be filled from switching
Take out and be moved to elsewhere in putting 6.For example, in the case of being reproduced in PC (not shown), it is carried out as follows.
SD card adapter 802 with miniature SD card 800 is inserted in PC SD card slot.Then, using smart mobile phone 810
(reference picture 16C) and near radio (Blue tooth (bluetooth, trade mark)), in the near radio with SD card adapter 802
Communication is established between loop 828 (circuit of Blue tooth (trade mark) communication).Control circuit 820 is from public keys record portion
824 read for understanding the public keys of password, and are sent to smart mobile phone 810.
Then, decryption instructions and public keys are sent out by the operation of user, smart mobile phone 810 (by the processing of application)
It is sent to SD card adapter 802.After decryption instructions and public keys are received, the control circuit 820 of SD card adapter 802 is right
The encrypted image data recorded in miniature SD card 800 is decompressed.Thus, become in miniature SD card 800 record either with or without
The state of the view data of encryption.Therefore, it is possible to be read and shown to view data using PC etc..
(5) in the present embodiment, employ the wire rod that cross section is circle and the wire rod that cross section is triangle is adjacent
Two lines circle, therefore, when having bent flexible arm 9, be able to maintain that the degree of the case of bending uprises.Because：It is circular
The circular line formed adjacent with the wire rod of circle of recovery resistance ratios of the coil formed adjacent with the wire rod of triangle in bending
Circle is big, is able to maintain that case of bending.Further, since make the internal diameter of pipe 90 smaller than the external diameter of coil 80, in addition, extending pipe 90
In the state of be close to coil 80, therefore, it is possible to maintain case of bending.
Therefore, have can be easily adjusted angles and positions, can keep adjustment after this effect of position.Separately
Outside, the internal diameter (making power act on radially) smaller than the external diameter of coil 80 that makes pipe 90 or make pipe 90 in the state of elongation with coil
80 are close to and (make power act on the direction for compressing adjacent wire rod) can only to implement a wherein side respectively.
(6) although in the above-described embodiment, two lines circle has been used as coil 80, a line can also be used
Circle.In this case, being close to elongation of pipe 90d can also be obtained and caused bending maintenance effect.
In addition it is also possible to use a plurality of coil of more than three, rather than two lines circle.But in this case, it is also excellent
Choosing carrys out convolute coil in a manner of adjacent wire rod is circular and triangle.
(7) in the above-described embodiment, coil 80 is formed using circular and triangle wire rod.However, it is possible to so that
With the wire rod of polygon more than circular and quadrangle.Or it not is square (trapezoidal, parallel the four of polygon that can also use
Side shape etc.).
(8) in the above-described embodiment, the power in the direction of collapse coil 80 is applied by pipe 90.Applied but it is also possible to set
Power unit (flexible part, elastomeric material etc.), it is fixed on the both ends of coil 80, is exerted a force to the direction of contraction.
(9) in addition, in the above-described embodiment, medical camera 2 being worn on glasses 40 and used.However, it is possible to
To set clip etc. on matrix 5, it is clipped on body or article and is fixed to use.
(10) in the above-described embodiment, HMD10, external monitor 12 all show single image.It is but it is also possible to aobvious
Show and be combined with the image that multiple images form.For example, it is also possible to combination shows significant data, X-ray in external monitor 12
More than two images in photo, MRI image, medical camera images etc..In this case, controlling switch can be utilized
66 combination of image to change while show.
(11) in the above-described embodiment, using guide member 14 and installation guide 30 by HMD202 and medical photograph
Machine 2 is installed on wearing tool 20.But it is also possible to installed using magnet.
(12) although in addition, in the above-described embodiment, using as medical and dental camera, also may be used
To apply in the camera of other purposes.For example, it is also possible to technoscope is connected in switching device 6.
Claims (9)
1. a kind of medical system, it has：
Medical camera, it is shot and exports camera images；
Medical image output, it exports medical image；
Head mounted display, it is worn on user；
External monitor, it can be watched for the people beyond user or user；And
Switching device, it has selection control unit, the camera of the selection control unit input from the medical camera
Image and the medical data from medical data output device, to respectively in the head mounted display and the external monitor
On at least show in the camera images and the medical data which side selected.
2. a kind of switching device, it has：
1st input terminal, it inputs the camera images from medical camera, and the medical camera is shot simultaneously
Export camera images；
2nd input terminal, it inputs the medical image from medical image output, the medical image output output
Medical image；
1st lead-out terminal, it is used for the head mounted display output image signal for being worn on user；
2nd lead-out terminal, it is used for the external monitor output image that can be watched for the people beyond user or user
Signal；And
Control unit is selected, it inputs the camera images from the 1st input terminal and the doctor from the 2nd input terminal
Image is treated, for the 1st lead-out terminal and the 2nd lead-out terminal at least showing the camera images and the medical treatment
Which side in image is selected.
3. the device described in system according to claim 1 or claim 2, it is characterised in that
The selection control unit changes the selection mode according to the signal from controlling switch.
4. system according to claim 3 or device, it is characterised in that
In the case where the connection signal from the controlling switch was constantly supplied below the stipulated time, the selection control unit
The image exported to the 1st lead-out terminal is switched over, is constantly supplied in the connection signal from the controlling switch
In the case of exceeding schedule time, the selection control unit switches over to the image exported to the 2nd lead-out terminal.
5. the system or device described in any one in Claims 1 to 4, it is characterised in that
The controlling switch is floor push.
6. the system or device described in any one in Claims 1 to 5, it is characterised in that
It is described selection control unit receive control signal and will be to the 1st lead-out terminal or the 2nd lead-out terminal or this pair
The image just exported at least spins upside down, is rotated by 90 ° or mirror face turning.
7. the system or device described in any one in claim 1~6, it is characterised in that
The selection control unit has recording unit, and the recording unit will come from the 1st input terminal or the 2nd input
Terminal or the image of the both sides recorded in removable recording medium.
8. the system or device described in any one in claim 1~7, it is characterised in that
The medical camera is worn on the body of user.
9. the system or device described in any one in claim 1~7, it is characterised in that
The medical camera is intra-oral camera.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202011592281.6A CN112807093A (en) | 2015-12-25 | 2016-12-22 | Medical system and switching device |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2015253138A JP6490001B2 (en) | 2015-12-25 | 2015-12-25 | Medical system |
| JP2015-253138 | 2015-12-25 | ||
| PCT/JP2016/088468 WO2017111071A1 (en) | 2015-12-25 | 2016-12-22 | Medical system |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202011592281.6A Division CN112807093A (en) | 2015-12-25 | 2016-12-22 | Medical system and switching device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107427216A true CN107427216A (en) | 2017-12-01 |
Family
ID=59090539
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202011592281.6A Withdrawn CN112807093A (en) | 2015-12-25 | 2016-12-22 | Medical system and switching device |
| CN201680012985.7A Pending CN107427216A (en) | 2015-12-25 | 2016-12-22 | Medical system |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202011592281.6A Withdrawn CN112807093A (en) | 2015-12-25 | 2016-12-22 | Medical system and switching device |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US20180249891A1 (en) |
| EP (1) | EP3395235A4 (en) |
| JP (1) | JP6490001B2 (en) |
| CN (2) | CN112807093A (en) |
| WO (1) | WO2017111071A1 (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109889739A (en) * | 2019-03-18 | 2019-06-14 | 天津安怀信科技有限公司 | Medicinal intelligent eyeglasses image display system |
| CN112654281A (en) * | 2018-09-06 | 2021-04-13 | 株式会社创佳医疗 | Medical image switcher |
| CN113797418A (en) * | 2020-06-12 | 2021-12-17 | 中强光电股份有限公司 | Medical imaging apparatus and medical image display method |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11166006B2 (en) | 2020-01-22 | 2021-11-02 | Photonic Medical Inc. | Open view, multi-modal, calibrated digital loupe with depth sensing |
| EP4275645A1 (en) | 2022-04-15 | 2023-11-15 | Luca Riccardi | Improved multimedia dental station |
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- 2016-12-22 WO PCT/JP2016/088468 patent/WO2017111071A1/en active Application Filing
- 2016-12-22 CN CN202011592281.6A patent/CN112807093A/en not_active Withdrawn
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Also Published As
| Publication number | Publication date |
|---|---|
| EP3395235A1 (en) | 2018-10-31 |
| CN112807093A (en) | 2021-05-18 |
| WO2017111071A1 (en) | 2017-06-29 |
| EP3395235A4 (en) | 2019-08-21 |
| US20180249891A1 (en) | 2018-09-06 |
| JP2017113353A (en) | 2017-06-29 |
| JP6490001B2 (en) | 2019-03-27 |
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